Castle Rock Martial Arts

presents:

Saturday February 20th

at:

For more information call: 303-688-5051

www.castlerockmartialarts.com/tournament

Castle Rock Martial Arts

TOURNAMENT APPLICATION (PLEASE PRINT CLEARLY)

Name:______

Age:______Sex: (Male or Female):______Height:______Weight:______

Belt Color:______Instructor:______

Martial Arts School:______Phone:______

I voluntarily submit this application for participation in this event. I hereby assume full

responsibility for any and all damages, injuries or losses that I may sustain or incur at

this event. I hereby waive all claims against the promoters, directors, coordinators and

Sponsors of this event, individually or otherwise, for any claim for injuries that I may

sustain. I fully understand that any medical treatment provided will be of a First Aid

nature only. THIS RELEASE MUST BE SIGNED BY A PARENT ORGUARDIAN OF ANY COMPETITOR UNDER EIGHTEEN (18) YEARS OF AGE. CONTESTANT/PARENT/GUARDIAN:______

Please indicate the divisions you will be competing in on the reverse side of this form.

Please indicate which divisions you will be competing in:

*Breaking Boards are 1” white pine

*To compete in sparring you must compete in the forms competition.